Provider Demographics
NPI:1114006897
Name:FLORENCE COUNTY SCHOOL DISTRICT FIVE
Entity Type:Organization
Organization Name:FLORENCE COUNTY SCHOOL DISTRICT FIVE
Other - Org Name:CAMPUS HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AUBREY
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-386-2358
Mailing Address - Street 1:237 S. GEORGETOWN HWY
Mailing Address - Street 2:
Mailing Address - City:JOHNSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29555
Mailing Address - Country:US
Mailing Address - Phone:834-386-2609
Mailing Address - Fax:834-386-9058
Practice Address - Street 1:237 S. GEORGETOWN HWY
Practice Address - Street 2:
Practice Address - City:JOHNSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29555
Practice Address - Country:US
Practice Address - Phone:834-386-2609
Practice Address - Fax:834-386-9058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health